TITLE:
Factors Associated with Mortality in Chronic Haemodialysis Patients in Semi-Rural Areas: The Experience of the Franceville Haemodialysis Centre (Gabon)
AUTHORS:
Alda Marcelle Ngoubadjambo, Martial Hervé Ekomy, Edmery Mpouho Ntsounga, Herman Begouabe, Joefred Mbogho Abogo, Cédric Sima Obiang
KEYWORDS:
Franceville, Chronic Haemodialysis Patients, Mortality, Factors
JOURNAL NAME:
Open Journal of Nephrology,
Vol.16 No.3,
July
24,
2026
ABSTRACT: Introduction: The mortality rate remains high among chronic haemodialysis patients. Several factors may explain this in semi-rural Gabon. This study was conducted to identify these factors at the Franceville haemodialysis centre in Gabon. Patients and Methods: This cross-sectional, descriptive and analytical study was conducted at the Franceville haemodialysis centre from 1 October 2021 to 30 September 2024. It involved the records of chronic haemodialysis patients who had been on dialysis for more than three months and were being treated at the Franceville haemodialysis centre. Sampling was exhaustive. Socio-professional, clinical, and biological data were collected. Statistical analysis was performed using Epi Info 7.2.6. software. Logistic regression was used to identify associated factors (p Results: A total of 99 chronic haemodialysis patients were included in the study, 66.67% of whom were male. The average age was 50.1 years (±12.1). The mortality rate was 39.39%. The most common comorbidities were hypertension (56.41%), diabetes (23.07%), and alcoholism (23.07%). The most common initial nephropathies were vascular (66.67%) and diabetic (25.64%). The main reasons for haemodialysis were acute pulmonary oedema (51.28%) and uraemic encephalopathy (23.07%). Multivariate analysis identified two factors associated with mortality in chronic haemodialysis patients: duration of treatment 0 - 180 days (OR 3.17 [1.33 - 3.47], p = 0.02) and retired (OR 3.25 [1.18 - 4.84], p = 0.01). Conclusion: Our results reveal a high mortality rate among chronic haemodialysis patients at the Franceville haemodialysis centre. It is therefore crucial to implement strategies that raise awareness of kidney disease and its risk factors, and that facilitate screening for them.